Individual
CHRISTOPHER BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-6346
(859) 323-6840
Mailing address
2075 REGENCY RD, APT 71, LEXINGTON, KY 40503-2325
(859) 466-4919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2020
KY
363AM0700X
Medical Physician Assistant
PA2020
KY
363AS0400X
Surgical Physician Assistant
PA2020
KY
Other
Enumeration date
10/09/2015
Last updated
08/17/2020
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